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1730733783
MARK A BUSH
LOUISVILLE, KY
NPI
1730733783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY 3013601)
Enumeration Date
2019-07-29
Last Update Date
2023-02-13
Business Address
Mr. MARK A BUSH PMHNP
3015 WILSON AVE
LOUISVILLE, KY 40211
Phone number: 502-774-4401
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Mailing Address
Mr. MARK A BUSH PMHNP
3015 WILSON AVE
LOUISVILLE, KY 40211-1969
Phone number: 502-774-4401
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